Pallor, tachycardia, and a sore tongue-rationale: pallor, tachycardia, and a sore tongue are all characteristic findings in pernicious anemia. other clinical manifestations include anorexia; weight loss; a smooth, beefy red tongue; a wide pulse pressure; palpitations; angina pectoris; weakness; fatigue; and paresthesia of the hands and feet. bradycardia, reduced pulse pressure, weight gain, and double vision arent characteristic findings in pernicious anemia.client needs category: physiological integrityclient needs subcategory: physiological adaptationcognitive level: applicationreference: smeltzer, s.c., et al. brunner and suddarths textbook of medical surgical-nursing, 11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 1805.